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This case report summarises the presentation of a 28-year-old female with signs and symptoms characteristic of thoracic outlet syndrome, but who was later found to have an effort-induced Upper Extremity Deep Vein Thrombosis (UEDVT), otherwise known as Paget-Schroetter syndrome. Effort-induced UEDVT is rare, but the similarity between the signs and symptoms of thoracic outlet syndrome and this type of thrombosis can result in patients with this condition presenting to musculoskeletal therapists. The key features of the case are described, followed by an overview of UEDVT and the importance of recognising this condition in musculoskeletal therapy practice. The role of therapists in referring for early medical diagnostics is key to ensuring management of the thrombosis is instigated early, therefore reducing the risk of life threatening consequences such as pulmonary embolism.

Original publication

DOI

10.1016/j.math.2014.08.004

Type

Journal article

Journal

Manual therapy

Publication Date

04/2015

Volume

20

Pages

358 - 360

Addresses

Kadoorie Centre for Critical Care Research & Education, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, United Kingdom. Electronic address: david.keene@ndorms.ox.ac.uk.

Keywords

Humans, Thoracic Outlet Syndrome, Athletic Injuries, Rare Diseases, Diagnosis, Differential, Physical Examination, Early Diagnosis, Treatment Outcome, Thrombolytic Therapy, Severity of Illness Index, Risk Assessment, Follow-Up Studies, Adult, Female, Upper Extremity Deep Vein Thrombosis, Shoulder Injuries